Kelly Lynn Reid, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1723 Issued in NC

Practice address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Phone

(336) 765-5350

Fax

(336) 765-0769

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kreid@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Winston Salem, NC
  • NPI 1427599802
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Walkertown, NC
  • NPI 1184165607
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861415424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093E7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen C Reichle
• Karen Mylenek Reichow, MD
• Charles Derek Reid, M.D.
• Charles Fredric Reid, M.D.
• Kanisha Reid
• Latoya Reid
• Richard H Reid, MD
• Sarah Elizabeth Reid, M.A., CCC-SLP
• Tabitha Reid
• Randall Marie Reidler, PA-C

• Corneal and Contact Management Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.